Carol Koether Gray, CFNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

LG0000193 Issued in DE

Practice address

179 W Chestnut Hill Rd
Suite 1
Newark, DE 19713-2210

Phone

(302) 453-1343

Fax

(302) 453-1654

NPI assigned

Jul 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Christiana Care Health Services Inc

  dba CCHS Pulmonary Associates

  • Pulmonary Disease Physician
  • Newark, DE
  • NPI 1255618070
  Medicare reassignment NPD
• Christiana Care Health Services Inc

  dba CCHS Concord - Neurology

  • Neurology Physician
  • Chadds Ford, PA
  • NPI 1881228484
  NPD
• Asthma and Allergy Care of Delaware, P.a.

  • Allergy & Immunology Physician
  • Newark, DE
  • NPI 1871525626
  NPD (past)
• ENT and Allergy of Delaware LLC

  • Specialist
  • Newark, DE
  • NPI 1386946333
  NPD (past)
• Pulmonary Associates P.a.

  • Pulmonary Disease Physician
  • Wilmington, DE
  • NPI 1750336541
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629007570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 W CHESTNUT HILL RD",
            "address_2": "SUITE 1",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132210",
            "telephone_number": "302-453-1343",
            "fax_number": "302-453-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 W CHESTNUT HILL RD",
            "address_2": "SUITE 1",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132210",
            "telephone_number": "302-453-1343",
            "fax_number": "302-453-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "CAROL",
        "middle_name": "KOETHER",
        "credential": "CFNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG0000193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001144842",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacey K Graves, MSN, CRNP
• Thomas Graves
• Daniel Michael Grawl, PA
• Ayanna Natasha Gray-Bolden, CRNP
• Breighanna Gray, CRNP
• Samantha M Gray, FNP-C
• Ashley Sheila Graybeal, PNP
• Gerard Graziose
• Lisa Graziose
• Greater Self Therapeutic Services LLC

• Nurse Practitioner in Newark, DE
• Providers in Newark, DE by specialty
• Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.